NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ BIỂU MÔ TUYẾN GIÁP THỂ NHÚ ĐƯỢC PHẪU THUẬT CẮT TOÀN BỘ TUYẾN GIÁP VÀ NẠO VÉT HẠCH CỔ

Abstract

Objectives: The features of clinical and paraclinical of patients with papillary thyroid carcinoma who had complete thyroid surgery and cervical lymph node dissection. Subjects and methods: 200 patients with papillary thyroid carcinoma and cervical lymph node dissection were the subjects of a cross-sectional descriptive research from August 2021 to July 2022 at the Department of Otolaryngology at Bach Mai Hospital. Research subjects were taken history, clinical examination, and paraclinical before and after surgery to record research indicators. Results: The study subjects have an everage age of 43,6 ± 11,7; with a male/female ratio 4,6. On ultrasound, the rate of patients with 1 thyroid tumor accounted for 69%, thyroid nodules in the right lobe account for 50%, thyroid tumors less than 1cm accounted for 62%, hypoechoic tumor accounts for 91%, calcification accounts for 73%, extrathyroidal extension accounts for 19%, TIRADS 4 accounts for 74,5%. Most patients with normal thyroid function before surgery. Conclusion: Papillary thyroid cancer is on the rise in recent years. The disease is common in women, the rate of lymph node metastasis is common in young patients (< 45 years old), Common ultrasound images: hypoechoic thyroid tumor, size < 1cm, located in the right lobe, with calcification, single-focal and localized in the thyroid gland. Male, age (< 45), tumor size (≥ 1 cm), number of tumors (>1 u), extrathyroidal invasion are independent risk factors for cervical lymph node metastasis.